{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:07:15Z","timestamp":1778843235677,"version":"3.51.4"},"reference-count":40,"publisher":"CAIRN.INFO","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,15]]},"abstract":"<jats:p>Introduction \u00a0: L\u2019int\u00e9gration de la d\u00e9marche palliative pr\u00e9coce dans le parcours de soins des r\u00e9sidents en \u00e9tablissements d\u2019h\u00e9bergement pour personnes \u00e2g\u00e9es d\u00e9pendantes constitue un d\u00e9fi majeur de sant\u00e9 publique et rel\u00e8ve de plusieurs facteurs. But de l\u2019\u00e9tude \u00a0: Cette \u00e9tude vise \u00e0 explorer les repr\u00e9sentations des professionnels \u00e0 l\u2019\u00e9gard des soins palliatifs, afin de comprendre l\u2019impact de ces repr\u00e9sentations sur l\u2019adoption de la d\u00e9marche palliative dans l\u2019accompagnement des r\u00e9sidents. M\u00e9thodes \u00a0: Une \u00e9tude qualitative utilisant une approche d\u2019\u00e9tude de cas multiple a \u00e9t\u00e9 r\u00e9alis\u00e9e. Des entretiens individuels semi-structur\u00e9s et des entretiens de groupe ont \u00e9t\u00e9 conduits aupr\u00e8s de professionnels provenant de 21 EHPAD dans trois r\u00e9gions fran\u00e7aises. L\u2019analyse th\u00e9matique a \u00e9t\u00e9 privil\u00e9gi\u00e9e. R\u00e9sultats \u00a0: Au total, 68 entretiens individuels et neuf entretiens de groupe r\u00e9unissant 67 professionnels ont \u00e9t\u00e9 r\u00e9alis\u00e9s. L\u2019analyse des r\u00e9cits des participants met en \u00e9vidence des repr\u00e9sentations collectivement partag\u00e9es, qui structurent leur rapport aux soins palliatifs, circonscrits \u00e0 la notion d\u2019accompagnement et dont les vis\u00e9es sont multiples et les pratiques plurielles. Les soins palliatifs sont associ\u00e9s \u00e0 la phase terminale de la maladie et \u00e0 la fin de vie et rel\u00e8vent de l\u2019expertise m\u00e9dicale d\u2019une \u00e9quipe sp\u00e9cialis\u00e9e. Ces repr\u00e9sentations constituent un frein \u00e0 l\u2019appropriation de la d\u00e9marche palliative et \u00e0 son int\u00e9gration dans les soins. Conclusion \u00a0: Pour soutenir l\u2019int\u00e9gration optimale de la d\u00e9marche palliative en EHPAD, les actions visant \u00e0 faire \u00e9voluer les repr\u00e9sentations au niveau individuel, clinique et organisationnel et \u00e0 co-construire une culture institutionnelle partag\u00e9e favorisant l\u2019acc\u00e8s aux soins palliatifs au moment opportun sont \u00e0 mettre en \u0153uvre.<\/jats:p>","DOI":"10.3917\/spub.262.0175","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:11:36Z","timestamp":1778839896000},"page":"175-187","source":"Crossref","is-referenced-by-count":0,"title":["Repr\u00e9sentations des professionnels des EHPAD \u00e0 l\u2019\u00e9gard des soins palliatifs\u00a0: \u00e9tude qualitative multisite"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Emmanuel","family":"Bagaragaza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benoite","family":"Umubyeyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dani\u00e8le","family":"Leboul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007132.pub2"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.11.015"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0860-2"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.5349"},{"key":"rb5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.02.016"},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-8-7"},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.1016\/j.medpal.2019.09.009"},{"key":"rb8","unstructured":"8. Davies E, Higginson IJ. Better palliative care for older people. Copenhagen: World Health Organization Regional Office for Europe (WHO\/Europe); 2004. 40 p."},{"key":"rb9","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0914-0"},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.1177\/1178224216688887"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2007.00394.x"},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318785295"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01157-w"},{"key":"rb14","doi-asserted-by":"publisher","DOI":"10.3917\/puf.jodel.2003.01.0005"},{"key":"rb15","unstructured":"15. Abric J-C. L\u2019approche structurale des repr\u00e9sentations sociales : d\u00e9veloppements r\u00e9cents. Psychologie et soci\u00e9t\u00e9. 2001 ; 4(2) : 81-104."},{"key":"rb16","unstructured":"16. Lheureux F. Entre repr\u00e9sentations sociales et intentions de pratiques : l\u2019implication. Revista Interamericana de Psicolog\u00eda\/Interamerican Journal of Psychology. 2011 ; 45(1) : 61-76."},{"key":"rb17","unstructured":"17. Abric J-C. Les repr\u00e9sentations sociales : aspects th\u00e9oriques. Pratiques sociales et repr\u00e9sentations. Paris : Presses universitaires de France ; 1994. p. 11-36."},{"key":"rb18","doi-asserted-by":"crossref","unstructured":"18. Wachelke J. Social representations: a review of theory and research from the structural approach. Universitas Psychologica. 2012 ; 11(3) : 729-41.","DOI":"10.11144\/Javeriana.upsy11-3.srrt"},{"key":"rb19","unstructured":"19. Yin RK. Case study research and applications: design and methods. Thousand Oaks, CA: Sage; 2018. 352 p."},{"key":"rb20","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"rb21","doi-asserted-by":"publisher","DOI":"10.3406\/bupsy.2004.15340"},{"key":"rb22","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13031"},{"key":"rb23","unstructured":"23. Paill\u00e9 P, Mucchielli A. L\u2019analyse qualitative en sciences humaines et sociales. 5e \u00e9d : Armand Colin ; Paris : 2021."},{"key":"rb24","doi-asserted-by":"publisher","DOI":"10.1177\/1090198118795019"},{"key":"rb25","unstructured":"25. Beyrie A, Douguet F, Mino J-C. Accompagner la fin de vie en maison de retraite : sp\u00e9cificit\u00e9s et limites d\u2019un travail inestimable. ethnographiques org. 2017 : 35-Vieillir en institution, vieillesses institutionnalis\u00e9es. Nouvelles populations, nouveaux lieux, nouvelles pratiques."},{"key":"rb26","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980817000253"},{"key":"rb27","doi-asserted-by":"publisher","DOI":"10.1016\/j.medpal.2022.05.004"},{"key":"rb28","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951518000834"},{"key":"rb29","doi-asserted-by":"publisher","DOI":"10.3917\/inka.021.0030"},{"key":"rb30","doi-asserted-by":"publisher","DOI":"10.5603\/PMPI.2020.0026"},{"key":"rb31","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.4186"},{"key":"rb32","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-014-0130-z"},{"key":"rb33","unstructured":"33. Ministre de la Sant\u00e9 et de la Pr\u00e9vention. Instruction Interminist\u00e8rielle N\u00b0 DGOS\/R4\/DGS\/DGCS\/2023\/76 du 21 juin 2023 relative \u00e0 la poursuite de la structuration des fili\u00e8res territoriales de soins palliatifs dans la perspective de la strat\u00e9gie d\u00e9cennale 2024-2034. Paris : 2023. 54 p."},{"key":"rb34","doi-asserted-by":"publisher","DOI":"10.7748\/ns2003.11.18.9.33.c3502"},{"key":"rb35","doi-asserted-by":"publisher","DOI":"10.3917\/pp.032.0129"},{"key":"rb36","doi-asserted-by":"publisher","DOI":"10.1002\/pdh.80"},{"key":"rb37","unstructured":"37. Titchen A, Hammond K. Helping health-care practitioners to flourish: critical companionship at work. In: McCormack B, McCance T, editors. Person-centred Practice in Nursing and Health Care: Theory and Practice. Oxford, UK: Wiley-Blackwell; 2017. p. 162-171."},{"key":"rb38","doi-asserted-by":"publisher","DOI":"10.1177\/26323524241293819"},{"key":"rb39","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21490"},{"key":"rb40","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2015.201"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:11:49Z","timestamp":1778839909000},"score":1,"resource":{"primary":{"URL":"http:\/\/v4.reseaucairn.info\/~cairn\/front-office\/main\/revue-sante-publique-2026-2-page-175?domain=stm&lang=fr&ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5,15]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.262.0175","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,15]]}}}